Covering Low-Income Childless Adults in Medicaid: Lessons Learned

by Rebecca Farley on September 23, 2010

The Center for Health Care Strategies (CHCS) has released a policy brief detailing the lessons learned from 10 states that currently offer coverage for low-income childless adults. This information can be used to assist other states currently planning for the expansion of Medicaid to cover all individuals under 133% of poverty beginning in 2014 (or earlier, if the state chooses to begin an advance expansion).

By 2014, 16-20 million low-income childless adults will be eligible for Medicaid enrollment under healthcare reform. Childless adults are currently ineligible for Medicaid coverage in many states.  The CHCS brief covers issues related to the potential care needs and costs of this population as they are brought into the Medicaid program. For low-income childless adults, these could include issues around mental illness, substance abuse, and multiple diagnoses; varying levels of service needs and costs among the newly eligible; and the need for states to partner with individuals and organizations with experience in caring for people with chronic conditions.

The brief evaluates lessons learned from the following ten states: Arizona, Indiana, Maine, Minnesota, New York, Oregon, Pennsylvania, Vermont, Washington, and Wisconsin.

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